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Slim bouwen, levenslang comfort : gids voor duurzaam wonen en bouwen
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Year: 2013 Publisher: Brussel : Departement DAR,

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Bénéfices liés aux investissements dans l'eau et l'assainissement : Perspectives de l'OCDE
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ISBN: 9264101047 9264101039 Year: 2013 Publisher: Paris : OECD Publishing,

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La fourniture de services d’approvisionnement en eau, d’assainissement et de traitement des eaux usées a des répercussions très favorables sur la santé publique, l’économie et l’environnement. Dans les pays en développement, le rapport avantages/coûts peut aller jusqu’à 7 pour 1 pour les services d’eau et d’assainissement de base. Les actions en matière de traitement des eaux usées, par exemple, peuvent s’accompagner d’effets très positifs en termes de santé publique et d’environnement, ainsi que pour certains secteurs économiques comme la pêche, le tourisme et le marché de l’immobilier. Les retombées favorables des services d’eau sont rarement considérées dans leur pleine mesure pour différentes raisons, notamment la difficulté de quantifier d’importants avantages non économiques tels que les valeurs de non-usage, la dignité, le statut social, la propreté et le bien-être général. Par ailleurs, les informations concernant les avantages liés aux services d’eau sont souvent enfouies dans des documents techniques et échappent aux principaux décideurs des ministères. Ce rapport réunit et résume les informations existantes sur les avantages de l’eau et de l’assainissement.


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Water Nationalization and Service Quality
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Year: 2013 Publisher: Washington, D.C., The World Bank,

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The objective of this paper is to explore the impact of Uruguay's privatization and subsequent nationalization of water services on network access and water quality. The results suggest that although the early privatization of water services had little impact on access to the sanitation network, the subsequent nationalization led to an increase in network access at the bottom of the income distribution as well as an improvement in water quality.


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Organising waste in the city : international perspectives on narratives and practices
Authors: ---
ISBN: 9781447306375 9781447306375 1447306376 1447306376 9781447306382 129970493X 1447310896 1447306384 9781447310891 Year: 2013 Publisher: Bristol : The Policy Press,

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Organising Waste in the City takes a broad and international approach to the ways in which the issue of waste is framed, and brings together narratives from cities as diverse as Amsterdam, Bristol, Cairo, Gothenburg, Helsingborg and Managua.


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Sanitation and hygiene in Africa : where do we stand? : analysis from the AfricaSan Conference, Kigali, Rwanda
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ISBN: 9781780405421 1780405421 Year: 2013 Publisher: IWA Publishing

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"The Third African Sanitation and Hygiene Conference was held in Kigali, Rwanda in July 2011. It was hosted by the Government of the Republic of Rwanda, and the African Minister s Council on Water. The meeting attracted extraordinary interest: over 1000 people registered and nearly 900 people attended from a total of 67 countries, including representatives of 42 African countries. The content of AfricaSan 3 was aligned with the needs of countries as defined in country preparation meetings which took place in advance. AfricaSan 3 looked to address the country needs and to commitments and country action planning. Different groups (ministers, civil society, local government, utilities, and donors) committed to actions to support the goals of AfricaSan. The goal of the AfricaSan process is to support countries to achieve the Millennium Development Goal, (MDG) for sanitation and hygiene. Sanitation and Hygiene in Africa: Where do We Stand? takes stock of progress made by African countries through the AfricaSan process since 2008 and the progress needed to meet the MDG on sanitation by 2015 and beyond. This book addresses priorities which have been identified by African countries as the key elements which need to be addressed in order to accelerate progress. -- Reviews progress on implementing the eThekwini Declaration to meet the MDG for sanitation and progress generally in Africa. It analyses what is needed to accelerate the rate of access to sanitation in Africa. -- Shares advances in the evidence base on sanitation and hygiene in Africa to be able to assist decision-makers to overcome key blockages in implementing large-scale sanitation and hygiene programs. -- Raises the profile of sanitation and hygiene as a determinant of sustainable development in order to strengthen leadership and advocacy for sustained sanitation and behavior changes. This book is essential reading for government staff from Ministries responsible for sanitation, sector stakeholders working in NGOs, CSOs and agencies with a focus on sanitation and hygiene and water and sanitation specialists. It is also suitable for Masters courses in water and sanitation and for researchers and the donor community."


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A Randomized, Controlled Study of a Rural Sanitation Behavior Change Program in Madhya Pradesh, India
Authors: --- --- --- --- --- et al.
Year: 2013 Publisher: Washington, D.C., The World Bank,

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Poor sanitation and open defecation are thought to be a major cause of diarrhea and intestinal parasite infections among young children. In 1999, India launched the Total Sanitation Campaign with the goal of achieving universal toilet coverage in rural India by 2012. This paper reports on a cluster-randomized, controlled trial that was conducted in 80 rural villages in Madhya Pradesh to measure the effect of the program on toilet access, sanitation behavior, and child health outcomes. The study analyzed a random sample of 3,039 households and 5,206 children under five years of age. Field staff collected baseline measures of sanitation conditions, behavior, and child health, and re-visited households 21 months later. The analysis finds that implementation of the program activities was slower than the original timeline (only 35 percent of villages were triggered more than six months before the follow-up survey). Nevertheless, the Total Sanitation Campaign successfully increased toilet coverage by 19 percent in intervention villages compared with control villages (41 percent volume 22 percent), while reported open defecation decreased by 10 percent among adults (74 percent volume 84 percent). The intervention also led to some improvements in water quality and protozoan infection, but consistent improvements were not observed across multiple child health outcomes (diarrhea, helminth infections, child growth). However, the exposure period was likely to have been too short to result in any benefit of the sanitation interventions on child health. Given the large improvements in toilet construction documented, an additional follow-up survey with a longer period of exposure would yield valuable information on the effects of improved sanitation conditions on health outcomes.


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Effects of Early-Life Exposure to Sanitation on Childhood Cognitive Skills : Evidence from India's Total Sanitation Campaign
Authors: ---
Year: 2013 Publisher: Washington, D.C., The World Bank,

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Early life health and net nutrition shape childhood and adult cognitive skills and human capital. In poor countries-and especially in South Asia-widespread open defecation without making use of a toilet or latrine is an important source of childhood disease. This paper studies the effects on childhood cognitive achievement of early life exposure to India's Total Sanitation Campaign, a large government program that encouraged local governments to build and promote use of inexpensive pit latrines. In the early years of the program studied here, the TSC caused six-year-olds exposed to it in their first year of life to be more likely to recognize letters and simple numbers. The results suggest both that open defecation is an important threat to the human capital of the Indian labor force, and that a program feasible to low capacity governments in developing countries could improve average cognitive skills.


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How Much International Variation in Child Height Can Sanitation Explain?
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Year: 2013 Publisher: Washington, D.C., The World Bank,

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Physical height is an important economic variable reflecting health and human capital. Puzzlingly, however, differences in average height across developing countries are not well explained by differences in wealth. In particular, children in India are shorter, on average, than children in Africa who are poorer, on average, a paradox called "the Asian enigma" which has received much attention from economists. This paper provides the first documentation of a quantitatively important gradient between child height and sanitation that can statistically explain a large fraction of international height differences. This association between sanitation and human capital is robustly stable, even after accounting for other heterogeneity, such as in GDP. The author applies three complementary empirical strategies to identify the association between sanitation and child height: country-level regressions across 140 country-years in 65 developing countries; within-country analysis of differences over time within Indian districts; and econometric decomposition of the India-Africa height differences in child-level data. Open defecation, which is exceptionally widespread in India, can account for much or all of the excess stunting in India.


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Impact Evaluation of a Large-Scale Rural Sanitation Project in Indonesia
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Year: 2013 Publisher: Washington, D.C., The World Bank,

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Lack of sanitation and poor hygiene behavior cause a tremendous disease burden among the poor. This paper evaluates the impact of the Total Sanitation and Sanitation Marketing project in Indonesia, where about 11 percent of children have diarrhea in any two-week period and more than 33,000 children die each year from diarrhea. The evaluation utilizes a randomized controlled trial but is unusual in that the program was evaluated when implemented at scale across the province of rural East Java in a way that was designed to strengthen the enabling environment and so be sustainable. One hundred and sixty communities across eight rural districts participated, and approximately 2,100 households were interviewed before and after the intervention. The authors found that the project increased toilet construction by approximately 3 percentage points (a 31 percent increase in the rate of toilet construction). The changes were primarily among non-poor households that did not have access to sanitation at baseline. Open defecation among these households decreased by 6 percentage points (or 17 percent). Diarrhea prevalence was 30 percent lower in treatment communities than in control communities at endline (3.3 versus 4.6 percent). The analysis cannot rule out that the differences in drinking water and handwashing behavior drove the decline in diarrhea. Reductions in parasitic infestations and improvements in height and weight were found for the non-poor sample with no sanitation at baseline.


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Water Hauling and Girls' School Attendance : Some New Evidence from Ghana
Authors: ---
Year: 2013 Publisher: Washington, D.C., The World Bank,

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In large parts of the world, a lack of home tap water burdens households as the water must be brought to the house from outside, at great expense in terms of effort and time. This paper studies how such costs affect girls' schooling in Ghana, with an analysis based on four rounds of the Demographic and Health Surveys. Using Global Positioning System coordinates, it builds an artificial panel of clusters, identifying the closest neighbors within each round. The results indicate a significant negative relation between girls' school attendance and water hauling activity, as a halving of water fetching time increases girls' school attendance by 2.4 percentage points on average, with stronger impacts in rural communities. The results seem to be the first definitive documentation of such a relationship in Africa. They document some of the multiple and wide population benefits of increased tap water access, in Africa and elsewhere.

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